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Madison

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Persistent Postural Perceptual Dizziness

Persistent Postural Perceptual Dizziness (PPPD) is chronic, long lasting, dizziness that is non-vertiginous and fluctuating in nature (1). PPPD is a relatively new diagnosis; the diagnostic criteria were created in 2014 and for that reason many providers don’t know about the condition or the criteria (1). PPPD has signs and symptoms that present like many …

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What is Vestibular Rehabilitation Therapy?

Vestibular Rehabilitation Therapy Vestibular rehabilitation therapy (VRT) is a specific type of treatment designed to improve symptoms related to the inner ear, also known as the vestibular system. Research has shown that VRT can decrease vestibular symptoms and help you return to your normal activities. A physical therapist will determine if you will benefit from …

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Dietary Considerations for Endolymphatic Hydrops

Treating your symptoms through dietary changes and some restrictions is the first step in treating many vestibular disorders. In the clinic, I always begin my evaluations by asking questions about their symptoms, their experience with dizziness and vertigo, and what their diet and exercise habits look like. Habits can be difficult to break, and as …

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Secondary Endolymphatic Hydrops

Secondary Endolymphatic Hydrops, SEH, is a vestibular system disorder caused by endolymphatic response to an underlying condition (1). In a normal ear, the fluid in your ear is maintained at a homeostatic level to help your balance, hearing, and spatial orientation. If you have Secondary Endolymphatic Hydrops, it is likely to be due to an …

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Ménière’s Disease

Ménière’s Disease is a chronic, frustrating, and incurable inner ear disease thought to be caused by a buildup of endolymph in the membranous labyrinth of your cochlea and vestibular system (1). This buildup of endolymph causes swelling on the membranous divide between the endolymph and perilymph, the Reissner’s membrane. This imbalance in your vestibular system …

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Concussion

A concussion occurs when a significant force to your head or body is sustained, leading to a traumatic force to your brain. This sudden and abrupt motion of the brain within your skull can create chemical and mechanical changes within your brain; it is not a bruise, it is a mild trauma (1). Concussions are …

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